The contribution of the instrumented Timed-Up-and-Go test to detect falls and fear of falling in people with multiple sclerosis.
Mult Scler Relat Disord
; 27: 226-231, 2019 Jan.
Article
em En
| MEDLINE
| ID: mdl-30415024
ABSTRACT
Fear of falling (FoF) and actual falling typifies two common complaints in people with MS (PwMS). The objective of our study was to examine the Instrumented Timed-Up-and-Go test (ITUG) in relation to falls and FoF in PwMS. This case-control study comprised 75 participants; 50 PwMS (33 women), aged 44.2 (S.Dâ¯=â¯7.2) and 25 healthy subjects (18 women) aged 44.4 (S.Dâ¯=â¯8.6). The ITUG test was evaluated by the APDM Mobility lab (Portland, OR, USA) and was completed under two task conditions, normal and while performing a cognitive test (ITUG-cog). FoF was evaluated by the FES-I questionnaire. PwMS were divided into subgroups of fallers and non-fallers based on their fall history. Total duration to complete the ITUG and ITUG-cog was higher in the PwMS group compared to the healthy controls. Total duration to complete the ITUG-cog was higher compared to the normal ITUG in both groups. However, non-significant differences were found for the condition x group factor. The total duration to complete the ITUG was increased in the MS fallers compared to the non-fallers. No other differences in ITUG measures were found between MS subgroups. According to the regression analysis, the sit-to-stand phase explained 22.7% of the variance relating to FoF in PwMS (R2â¯=â¯0.227). The study provides new insights into the TUG test in PwMS. The sit-to-stand transition appears to be a major component associated with FoF. Furthermore, the cognitive-motor interference in conjunction with the ITUG is probably not unique in PwMS.
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MEDLINE
Assunto principal:
Desempenho Psicomotor
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Acidentes por Quedas
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Caminhada
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Equilíbrio Postural
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Medo
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Função Executiva
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Esclerose Múltipla
Idioma:
En
Ano de publicação:
2019
Tipo de documento:
Article